Clinica Dator, Spain
Objectives: 1. To study depressive symptoms, anxiety and get and subjective evaluation of the stress that women who have decided a termination withstand.
2. To investigate, taking in account a pre and post IVE evaluation, if the termination itself might cause a trauma or a depressive psychological disorder dealing with anxiety.
3. To find out the differences that could exist in the sample, according to the previous goals, relative to age, nationalities, studies degree and other variables.
Methodology: The random sample is formed by 620 women that came to Clinica Dator (any day of the week) from December 2009 to April 2009. We got the evaluation by a questionnaire that was divided into several sections: personal data, information concerning the partner, their own stress valuation about the unwanted pregnancy and the termination (ranking from 0 to 5) and the consideration of the anxiety and depression Goldberg scale.( ). 163 Women came back for the check-up (26% of the whole sample).
Results: Age range: from 12 to 48 years. A 15% had psychiatric treatment precedents and main causes were depression (31%) and anxiety (28%).
The stress result of the unwanted pregnancy got a average grading of 3, 24 (DT: 1,45) and the stress due to the termination 2,81 (DT: 1,55), medium-high level in both cases.
Anxiety average is 5, 02: 57,6 % of the sample are over the cut-off point in probability of anxiety. Depression average: 3, 78 (DT = 2, 49), 65% of this women are over the cut-off point witch represents a likely depressive disorder.
To study the pre-post changes, women who came back for the check-up are compared to the ones of rest of the sample: there is not noteworthy differences in anxiety and depression level pre-post IVE regarding age, nationality, kind of job, study degree. There is an statistical significant difference in pre and post IVE anxiety. The anxiety average pre IVE is 5, 16 and decreases to 3, 15 after the termination. (Repeated measurements, F = 57, 37; p = 0.000; Eta2= 0.29). Depression average falls from 3, 82 before the IVE to 2, 18 after it (Repeated measurements, F = 54, 97; p = 0.000; Eta2 = 0, 27).
Both, depression and anxiety get better in 52, 5% of the sample, get worse in a 10, 7% and remain the same in a 2% of the cases. In the rest, 34, 8% of the sample, progress differently in relation to anxiety and depression. No epidemiologic variables were found to predict worsening. The analysis was carried out by logistics regression of the symptoms of both, depression (9 symptoms) and anxiety (9 symptoms), and the variables that turned out to be predictive were: feeling not much energetic, being unable to concentrate and feeling worse mood in the morning (Model: Chi 2 = 34, 07; p = 0.000; R2 Nagelnerke: 0,52). Those who had previous psychiatric treatment didn’t show any different symptoms with regard to the rest of the sample.
Conclusions: Stress produced by an unwanted pregnancy is medium-high short. More than 50% of women suffer, before the termination, an anxiety and depression level over the cut-off point in the mixed anxiety and depressed mood probability.
In most of the cases this level decreases after the termination, except a roughly 10% that feels worse, in this sense, after the IVE.
According to our information it is not truth that termination generates a trauma, or a psychiatric pathology. Most of women who do a termination feel better after it, except a low percentage with more significant anxiety and depression symptoms afterwards than before it.